:

Nina Y Wilson1, Harun Mazumder, Gina M Berg

  • 1Author Affiliations: Clinical Operations Group, Center for Trauma and Acute Care Surgery Research, HCA Healthcare, Nashville, Tennessee (Ms Wilson, Dr Mazumder, Dr Garland, Ms Harbour, Dr Shen, Dr Orlando, and Dr Fakhry); Department of Trauma Services, Wesley Healthcare, Wichita, Kansas (Dr Berg); Department of Trauma Services, Mission Hospital, Asheville, North Carolina (Dr Slivinski); Department of Trauma Services, CommonSpirit Mountain Region, Lakewood, Colorado (Ms Cofran); Department of Surgery and Trauma, Atrium Health Navicent Medical Center, Macon, Georgia (Ms Johns); Department of Surgery, University of California, Irvine, California (Dr Nahmias); Massachusetts General Hospital, Harvard University, Harvard Medical School and Massachusetts General Brigham (MGB), Boston, Massachusetts (Dr Kaafarani); Department of Trauma and Acute Care Surgery; University of Colorado Health Medical Center of the Rockies, Loveland, Colorado (Dr Dunn); Department of Trauma, Rapides Regional Medical Center, Alexandria, Louisiana (Dr Moreau); Department of Trauma Services, Northeast Georgia Medical Center, Gainesville, Georgia (Ms Krause); Department of Trauma Services, Duke University Hospital; Durham, North Carolina (Ms Durst); Department of Trauma and Acute Care Surgery, University of Colorado Health Medical Center of the Rockies, Loveland, Colorado (Ms Cotner-Pouncy); Department of Trauma Services, HCA Florida Lawnwood Hospital, Ft. Pierce, Florida (Ms Mitchell); Department of Trauma Services, MedStar Washington Hospital Center, Washington, District of Columbia (Ms Kennedy); Department of Trauma, North Oaks Medical Center, Hammond, Louisiana (Ms Gennusa); and Ochsner Lafayette General Medical Center, Lafayette, Louisiana (Ms Klentzman Heard).

概括

更多的创伤激活标准并没有改善患者的治疗结果,也没有减少选不足. 然而,标准的增加导致了更多的过度选,增加了创伤资源的负担,没有明显的临床益处.